Review the evidence signals before interviewing. Then use the anchored descriptions—not instinct alone—to choose the score that best matches each answer.
01
Evaluation factor
Clinical competence
35% weight
Check hands-on range: fiberglass and plaster short arm casts, sugar tong and thumb spica splints, cast saw and univalving technique, halo and skeletal traction setup, CPM and brace fitting.
Evidence to listen for
Command of the procedures, anatomy, and equipment the role requires
Holds current registration or certification
Knows normal from abnormal and what to do about each
Recognises when a case is outside their scope
Five-point scoring guide
1
Poor
Unsafe knowledge gaps; registration missing or lapsed.
2
Needs Improvement
Knowledge gaps that would affect patient care.
3
Satisfactory
Competent for standard cases; needs support on complex ones.
4
Very Good
Strong clinical knowledge; safe and reliable across the usual range.
5
Excellent
Names specific immobilization types applied weekly, describes molding over bony prominences, and explains cast removal without saw burns or skin breakdown.
02
Evaluation factor
Patient safety and protocol
30% weight
Probe compartment syndrome and pressure sore recognition, neurovascular checks after application, cast padding and stockinette practice, sterile field discipline in the OR, and reporting of skin injury incidents.
Evidence to listen for
Follows identification, infection control, and documentation protocol without prompting
Can describe an error or near miss and what they did
Escalates deterioration early
Treats protocol as protection rather than bureaucracy
Five-point scoring guide
1
Poor
Casual about protocol; would not report an error.
2
Needs Improvement
Inconsistent protocol adherence; slow to escalate.
3
Satisfactory
Follows protocol reliably; documentation sometimes thin.
4
Very Good
Protocol is instinctive; escalates early and reports honestly.
5
Excellent
Escalates the 5 P's promptly, documents neurovascular findings, and cites a case where they bivalved or removed a cast before harm occurred.
03
Evaluation factor
Patient communication
20% weight
Assess how the candidate coaches patients on cast care, weight bearing limits, crutch or walker fitting, and calming anxious pediatric patients during noisy cast saw removal.
Evidence to listen for
Explains a procedure to an anxious or confused patient
Handles distress, pain, or refusal without losing control of the interaction
Respects privacy and dignity in practice, not just in principle
Works with families and carers
Five-point scoring guide
1
Poor
Dismissive of patients; no bedside awareness.
2
Needs Improvement
Task-focused; struggles with distressed patients.
3
Satisfactory
Adequate rapport; less confident in difficult interactions.
4
Very Good
Calm, clear, and respectful with anxious or difficult patients.
5
Excellent
Gives clear discharge instructions in plain language, uses distraction and demonstration with children, and confirms understanding before the patient leaves.
04
Evaluation factor
Working in a clinical team
15% weight
Look for working rhythms with orthopedic surgeons, PAs, and radiology: fracture table and C-arm setup, traction requests during trauma call, clinic turnover, and inventory of casting supplies.
Evidence to listen for
Hands over cleanly and completely
Challenges a colleague when patient safety requires it
Takes direction from clinicians without deferring blindly
Handles shift work and pressure without becoming difficult to work with
Five-point scoring guide
1
Poor
Poor handover; cannot work in a clinical team.
2
Needs Improvement
Handover gaps; avoids raising concerns about colleagues.
3
Satisfactory
Reliable team member; handover adequate.
4
Very Good
Clean handovers and willing to speak up on safety.
5
Excellent
Anticipates surgeon preferences, preps traction or fracture tables ahead of the case, and keeps clinic rooms and cast cart stocked without prompting.
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